Evidence map›Paper›PMID 24489711›Full record

ArticlePloS one2014

MR scanner systems should be adequately characterized in diffusion-MRI of the breast.

Marco Giannelli, Roberto Sghedoni, Chiara Iacconi, Mauro Iori, Antonio Claudio Traino, Maria Guerrisi, Mario Mascalchi, Nicola Toschi, Stefano Diciotti

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Marco GiannelliMedical Physics Unit, Pisa University Hospital "Azienda Ospedaliero-Universitaria Pisana", Pisa, Italy.
Roberto SghedoniDepartment of Oncology and Advanced Techniques, Medical Physics Unit, IRCCS-Arcispedale Santa Maria Nuova, Reggio Emilia, Italy.
Chiara IacconiDivision of Radiology, Breast Unit, Massa Hospital, Azienda USL Massa e Carrara, Massa, Italy.
Mauro IoriDepartment of Oncology and Advanced Techniques, Medical Physics Unit, IRCCS-Arcispedale Santa Maria Nuova, Reggio Emilia, Italy.
Antonio Claudio TrainoMedical Physics Unit, Pisa University Hospital "Azienda Ospedaliero-Universitaria Pisana", Pisa, Italy.
Maria GuerrisiDepartment of Biomedicine and Prevention, Medical Physics Section, University of Rome "Tor Vergata", Rome, Italy.
Mario MascalchiDepartment of Clinical and Experimental Biomedical Sciences, University of Florence, Florence, Italy.
Nicola ToschiDepartment of Biomedicine and Prevention, Medical Physics Section, University of Rome "Tor Vergata", Rome, Italy ; Department of Radiology, Athinoula A. Martinos Center for Biomedical Imaging, Boston, Massachusetts, United States of America ; Harvard Medical School, Boston, Massachusetts, United States of America.
Stefano DiciottiDepartment of Clinical and Experimental Biomedical Sciences, University of Florence, Florence, Italy ; Department of Electrical, Electronic, and Information Engineering "Guglielmo Marconi", University of Bologna, Cesena, Italy.
Azienda Ospedaliera Universitaria Pisana · ITOspedale Santa Maria · ITAthinoula A. Martinos Center for Biomedical Imaging · USMarconi University · ITUniversity of Florence · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast imaging represents a relatively recent and promising field of application of quantitative diffusion-MRI techniques. In view of the importance of guaranteeing and assessing its reliability in clinical as well as research settings, the aim of this study was to specifically characterize how the main MR scanner system-related factors affect quantitative measurements in diffusion-MRI of the breast. In particular, phantom acquisitions were performed on three 1.5 T MR scanner systems by different manufacturers, all equipped with a dedicated multi-channel breast coil as well as acquisition sequences for diffusion-MRI of the breast. We assessed the accuracy, inter-scan and inter-scanner reproducibility of the mean apparent diffusion coefficient measured along the main orthogonal directions (<ADC>) as well as of diffusion-tensor imaging (DTI)-derived mean diffusivity (MD) measurements. Additionally, we estimated spatial non-uniformity of <ADC> (NU<ADC>) and MD (NUMD) maps. We showed that the signal-to-noise ratio as well as overall calibration of high strength diffusion gradients system in typical acquisition sequences for diffusion-MRI of the breast varied across MR scanner systems, introducing systematic bias in the measurements of diffusion indices. While <ADC> and MD values were not appreciably different from each other, they substantially varied across MR scanner systems. The mean of the accuracies of measured <ADC> and MD was in the range [-2.3%,11.9%], and the mean of the coefficients of variation for <ADC> and MD measurements across MR scanner systems was 6.8%. The coefficient of variation for repeated measurements of both <ADC> and MD was < 1%, while NU<ADC> and NUMD values were <4%. Our results highlight that MR scanner system-related factors can substantially affect quantitative diffusion-MRI of the breast. Therefore, a specific quality control program for assessing and monitoring the performance of MR scanner systems for diffusion-MRI of the breast is highly recommended at every site, especially in multicenter and longitudinal studies.

Indexed as

Diffusion Magnetic Resonance ImagingFemaleHumansMagnetic Resonance ImagingReproducibility of ResultsSignal-To-Noise Ratio

Identifiers

PMID24489711
PMCPMC3904912
OpenAlexW2023193437

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.